Review of interventions that improve uptake of lung cancer screening: a cataloging of strategies that have been shown to work (or not)

Author Department

Pulmonary/Critical Care Medicine

Document Type

Article, Peer-reviewed

Publication Date

5-2024

Abstract

Topic of importance: Lung cancer screening (LCS) has the potential to decrease mortality from lung cancer by 20%. Yet, more than a decade since LCS was established as an evidence-based practice, < 20% of the eligible population in the US has been screened. This review focuses on critically appraising interventions that have been designed to increase the initial uptake of LCS, including how they address known barriers to LCS and their effectiveness in overcoming these barriers.

Review findings: Studies were categorized based on the primary barriers which they addressed: 1) identifying eligible patients (including enhancing awareness through smoking history collection, outreach, and education), 2) SDM-related interventions, and 3) patient navigation interventions. Four of the studies included multi-component interventions, which often included patient navigation as one of the components. Overall, the effectiveness of the studies reviewed at improving LCS uptake was generally modest and was limited by the multi-level barriers that need to be overcome. Multi-component interventions were generally more effective at improving LCS uptake but most studies still had relatively low completion of screening.

Summary: Improving uptake of LCS requires learning from prior interventions to design multi-level interventions that address barriers to LCS at key steps and identifying which components of these interventions are effective and generalizable.

PMID

38797278

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